Tisdall, William Alec

Tisdall, William Alec is an individual health care provider with primary practice located at 1919 Rogers Rd Suite 204, San Antonio TX 78251-4614. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Tisdall, William Alec can be contacted via phone (210) 541-0700.

Contact Information

Primary practice address
1919 Rogers Rd Suite 204 San Antonio TX 78251-4614
Phone: (210) 541-0700
Fax: (210) 541-6868
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X M5545 Texas
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X M5545 Texas

Profile Details

NPI number 1124153754
LBN Legal business name Tisdall, William Alec
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2007
Last updated Jan 4th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124153754 NPPES
Texas MEDICAID 192493602
Texas Other 8CK977

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